Form TM6

Trade Marks Registry

Request to Change the Details of an Application or Registration

Your Reference :
Give details of the Applications or Registrations this will affect:
Licensee Number:
File Number: *
Choose Lowest Class *
Full Name of Proprieor or Licensee or Opponent
(a) Give Details of the Changes:
(b) Give Details if change is because of a clerical Error:
Select New Name or Address to be Recorded:
Signature of Applicant:
Name [Block Capitals]
Date of Application:
Name of DayTime Contact :
Telephone of DayTime Contact :
State the Number of Sheets Uploaded for this notice:
Charge for Service: $